EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR

ABSTRACT Objective: Patients with metastatic bone lesions have a limited life expectancy. These metastatic lesions compromise the proximal femur, and fractures are quite common. The survival of these patients depends on the behavior of the primary tumor. The aim of this study was to evaluate the qu...

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Main Authors: Marcos Hajime Tanaka, Marcello Martins de Souza, Daniel Luiz Ceroni Gibson, Monica Paschoal Nogueira
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2018-08-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000400248&tlng=en
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author Marcos Hajime Tanaka
Marcello Martins de Souza
Daniel Luiz Ceroni Gibson
Monica Paschoal Nogueira
author_facet Marcos Hajime Tanaka
Marcello Martins de Souza
Daniel Luiz Ceroni Gibson
Monica Paschoal Nogueira
author_sort Marcos Hajime Tanaka
collection DOAJ
description ABSTRACT Objective: Patients with metastatic bone lesions have a limited life expectancy. These metastatic lesions compromise the proximal femur, and fractures are quite common. The survival of these patients depends on the behavior of the primary tumor. The aim of this study was to evaluate the quality of life of patients with extensive metastatic lesion of the proximal femur with pathological or imminent fracture, treated with non-conventional endoprosthesis. Methods: From May 2008 to August 2012, twenty-five (25) patients with bone metastases of the proximal femur, with pathological or imminent fracture were recruited into this study. These patients had survived for at least six weeks after surgery and the TESS questionnaire (Toronto Extremity Salvage Score) was administered. Results: The final score of the TESS was an average of 57 points (SD 23.78 points). There was no significant difference in TESS values considering: sex, presence of fracture, or site of the bone lesion. Conclusion: The TESS questionnaire provides information about the function and quality of life of patients with malignant tumors of the lower limbs, from the patient's perspective. The results can be considered positive, when compared to the limited life expectancy and complexity of this group of patients. Level of evidence III, Therapeutic studies, retrospective comparative study.
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spelling doaj.art-6106286151514604853a62e1f36400032022-12-22T04:12:15ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522018-08-0126424825110.1590/1413-785220182604191223EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMURMarcos Hajime TanakaMarcello Martins de SouzaDaniel Luiz Ceroni GibsonMonica Paschoal NogueiraABSTRACT Objective: Patients with metastatic bone lesions have a limited life expectancy. These metastatic lesions compromise the proximal femur, and fractures are quite common. The survival of these patients depends on the behavior of the primary tumor. The aim of this study was to evaluate the quality of life of patients with extensive metastatic lesion of the proximal femur with pathological or imminent fracture, treated with non-conventional endoprosthesis. Methods: From May 2008 to August 2012, twenty-five (25) patients with bone metastases of the proximal femur, with pathological or imminent fracture were recruited into this study. These patients had survived for at least six weeks after surgery and the TESS questionnaire (Toronto Extremity Salvage Score) was administered. Results: The final score of the TESS was an average of 57 points (SD 23.78 points). There was no significant difference in TESS values considering: sex, presence of fracture, or site of the bone lesion. Conclusion: The TESS questionnaire provides information about the function and quality of life of patients with malignant tumors of the lower limbs, from the patient's perspective. The results can be considered positive, when compared to the limited life expectancy and complexity of this group of patients. Level of evidence III, Therapeutic studies, retrospective comparative study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000400248&tlng=enFemoral Neoplasms/surgeryProstheses and ImplantsQuality of LifeSurveys and QuestionnairesNeoplasm Metastasis
spellingShingle Marcos Hajime Tanaka
Marcello Martins de Souza
Daniel Luiz Ceroni Gibson
Monica Paschoal Nogueira
EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR
Acta Ortopédica Brasileira
Femoral Neoplasms/surgery
Prostheses and Implants
Quality of Life
Surveys and Questionnaires
Neoplasm Metastasis
title EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR
title_full EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR
title_fullStr EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR
title_full_unstemmed EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR
title_short EVALUATION OF QUALITY OF LIFE IN PATIENTS TREATED FOR METASTATIC DISEASE OF THE PROXIMAL FEMUR
title_sort evaluation of quality of life in patients treated for metastatic disease of the proximal femur
topic Femoral Neoplasms/surgery
Prostheses and Implants
Quality of Life
Surveys and Questionnaires
Neoplasm Metastasis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000400248&tlng=en
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